Provider Demographics
NPI:1588968457
Name:SCOTT, STEPHANIE (LPC)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 174245
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76003-4245
Mailing Address - Country:US
Mailing Address - Phone:214-649-2794
Mailing Address - Fax:
Practice Address - Street 1:610 S INDUSTRIAL BLVD
Practice Address - Street 2:STE #307
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-5048
Practice Address - Country:US
Practice Address - Phone:817-917-2335
Practice Address - Fax:817-684-0233
Is Sole Proprietor?:No
Enumeration Date:2011-01-06
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66767101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional